| NPI | 1609966621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI MI4301043420) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4301043420) |
| 207R00000X Internal Medicine (Licence: MI 4301043420) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-05-25 |